{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:25:34Z","timestamp":1788269134466,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;amp;R"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>This scoping review aims to better characterize finger growth plate injuries in adolescent sport climbers and to create a diagnostic and management algorithm for adolescent climbers after a finger growth plate injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>PubMed, EMBASE, and ScienceDirect databases were queried to identify articles from database inception to July 2024 for inclusion. The following search terms were used: (epiphys* OR physis OR physeal OR metaphys* OR \u201cgrowth plate*\u201d) AND (climb*).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Studies that examined adolescent sport climbers with a diagnosis of finger growth plate injury were included. Demographic and clinical information, injury characteristics, imaging and treatment modalities, and outcome data were extracted and pooled from all included studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Eleven studies were included. In total, 149 physeal stress injuries occurred in 98 adolescent climbers with a mean age of 14\u2009years and range of 10 to 18\u2009years. A total of 146 injuries (98%) occurred at the proximal interphalangeal joint. Of these injuries, 74% were fractures, of which 97% occurred at the epiphysis. Baseline radiograph was the most used imaging modality for initial diagnosis of fracture. Treatment ranged from complete rest (21%) to surgical intervention (8%). Overall, return to sport time ranged from 2\u2009weeks to 6\u2009months, and 91% were able to return to climbing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Epiphyseal fractures are the most common growth plate injury reported in adolescent climbers. Identification of these injuries with clinical history and timely diagnostic imaging is critical to return to sport.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.70068","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T11:07:54Z","timestamp":1766401674000},"page":"803-808","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Finger growth plate injuries in adolescent sport climbers: A scoping review"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4624-9057","authenticated-orcid":false,"given":"Ashwin","family":"Jaini","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Physical Medicine &amp; Rehabilitation Stanford University  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Physical Medicine &amp; Rehabilitation Stanford University  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asher","family":"Smuek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Physical Medicine &amp; Rehabilitation Stanford University  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Physical Medicine &amp; Rehabilitation Stanford University  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/sports12020061"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem\u20102018\u2010000406"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100030\u20101267230"},{"key":"e_1_2_8_5_1","first-page":"7","article-title":"Finger injuries of young elite rock climbers","volume":"50","author":"Schlegel C","year":"2002","journal-title":"Sportmedizin Und Sportraumatologie"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17030812"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011571"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2023.08.020"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.10.009"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2019.05.003"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247\u2010017\u20104033\u20104"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.01.016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1580\/PR15\u201004.1"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010013\u20101694\u20104"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","unstructured":"HalseyT ChBM JohnsonMI JonesG.Epiphyseal Stress Fractures of the Fingers in an Adolescent Climber: A Potential \u201cMaslow's Hammer\u201d in Terms of Clinical Reasoning.2019http:\/\/journals.lww.com\/acsm-csmr","DOI":"10.1249\/JSR.0000000000000658"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211056956"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118792847"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256\u2010024\u201004832\u20107"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2009.04.049"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2019.04.001"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0000000000000770"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70068","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.70068","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70068","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T07:40:50Z","timestamp":1783928450000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.70068"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/pmrj.70068"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.70068","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,22]]},"assertion":[{"value":"2025-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}